Physician Advisory Services

Our team of Physician Advisors is available to consult with attending physicians and staff on various aspects of a patient's stay that could impact receipt of the appropriate reimbursement. We have numerous practicing physicians on our staff assisted by experienced RNs who understand the complex issues that impact what hospitals are paid.

Services Include:

• Level of Care Consulting
• Continued Stay Management
• Documentation Consultation

Medical Billing Services

Speed up claims processing, reduce incidences of rejected claims, and shorten the amount of time your practice waits to be paid with medical billing services from MedManagement. Because nearly all claims are billed from our office electronically, we are able to catch mistakes before they are sent out, and resolve coding errors to ensure more claims are approved. In addition, our all-inclusive electronic medical billing services provide a quicker turnaround time for claims and maximize cash flow for your practice or office.

Our medical services billing team includes billing and collection employees with an average of 15 years experience as well as staff with certified coding expertise. Each medical billing services team member understands the complex, involved with Medicare and Medicaid reimbursement, and is well-versed in policy and guidelines for major insurance claims (including Medicare, Medicaid and BCBS). We always follow up closely on each and every claim for prompt payment.

Features of MedManagement’s comprehensive medical billing and coding services include:

Electronic Billing

• Charges processed 24-48 hours upon receipt
• Charges verified for correct coding via Alpha II coding module
• Electronic claims transmission to BCBS, Medicare, Medicaid and McKesson. Claims uploaded to carriers daily
• Audit trails reviewed to ensure correct information is received

Electronic Medical Billing

Payment Posting

• Electronic remit posting for BCBS and Medicare
• All commercial and patient payments posted
• Denials reviewed and reprocessed immediately

Insurance Follow-up

• Ongoing follow-up with insurance companies to maximize reimbursement
• Review outstanding claims monthly and provide customized reports
• Electronic claims status and eligibility verification with BCBS and Medicare

Collections

• Patient aging reports reviewed monthly
• Patient letters sent in concurrence with practice policy
• Patient phone calls (soft collections)
• Detailed collection process customized to practice needs

For more information on our medical billing management services, please contact us.